This panniculectomy before-and-after case highlights a 47-year-old White woman, 5 feet 5 inches tall, whose highest weight was 341 pounds. After gastric sleeve surgery in 2015, she lost 133 pounds, a major achievement that nevertheless left her with substantial loose skin and residual fat. Her concerns involved the abdomen, hips, thighs, and buttocks, with a particularly heavy apron of tissue hanging from her lower abdomen. To address the abdominal overhang, she underwent panniculectomy with Dr. Timothy Katzen in Beverly Hills, California. During surgery, 34 pounds of excess skin and fat were removed. Unlike an abdominoplasty, which may include tightening separated abdominal muscles, panniculectomy primarily removes the redundant abdominal apron. The before-and-after photographs illustrate the dramatic reduction in lower abdominal bulk and a smoother contour beneath the waist. Removing this tissue can also make clothing easier to fit and improve access to skin folds for daily hygiene. An operation of this extent requires careful postoperative care. Swelling, discomfort, incision care, and temporary restrictions on lifting and strenuous activity are expected as healing progresses. The patient expressed satisfaction with her changed appearance and renewed confidence after surgery. This case demonstrates how post-bariatric body contouring can address tissue that persists even after substantial weight loss. The surgical scar remains permanent and continues to mature over time.
Panniculectomy After 133-Pound Weight Loss | 34 Pounds of Excess Skin Removed
Patient
- Age40 - 49
- GenderFemale
- EthnicityWhite
- Height5’ 0” - 5’ 5”
- Weight200 - 249 lbs
Procedure
- Panniculectomy
- After Weight Loss Surgery
- Abdominoplasty
- after weight loss
- pubic reduction
- skin removal surgery
- fat removal
- fat reduction
- Body Tightening
- After Weight Loss
- panniculectomy
- pannus
- large abdomen
- pannus removal
- large pannus
- loose skin
- Sagging skin
- Skin Tightening
- TUMMY TUCK
- body contouring
- Sagging skin
- Skin Tightening
- body contouring
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These panniculectomy before-and-after photographs feature a 47-year-old White woman, 5'5" tall, whose maximum weight was 341 pounds. In 2015, she underwent gastric sleeve surgery and subsequently lost 133 pounds. Despite this substantial weight loss, she continued to experience excess skin and residual fat affecting her abdomen, hips, thighs, and buttocks. The most significant concern was the heavy, hanging abdominal pannus that remained after bariatric surgery. She underwent a panniculectomy performed by Dr. Timothy Katzen in Beverly Hills, California. During the procedure, 34 pounds of excess skin and fatty tissue were surgically removed. Panniculectomy focuses on excising the overhanging apron of skin and fat from the lower abdomen; it is distinct from a tummy tuck, which may also include abdominal muscle tightening and additional contouring. These before-and-after images document a substantial reduction in the hanging abdominal tissue and a more streamlined lower abdominal profile. Removing the pannus can reduce the weight and bulk of redundant tissue and improve access to the lower abdominal skin for hygiene and clothing. Recovery after extensive panniculectomy typically involves swelling, soreness, activity restrictions, and several weeks of gradual healing. The patient reported feeling delighted with her postoperative appearance and more confident in her body. Her case illustrates the significant tissue removal sometimes required after massive weight loss in her case.